CONNOR PRYDE


Address: 1428 44th St Sw, Wyoming, MI 49509-4312
Phone: 6166048492

CONNOR PRYDE (NPI# 1649816299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649816299
Entity Type Individual
Full Name CONNOR PRYDE
Practice Address 1428 44th St Sw
Wyoming
MI 49509-4312
Mailing Address 8067 Van Buren Rd
Fowlerville
MI 48836-9010
Practice Telephone 6166048492
Enumeration Date 2019-11-19
Last Update Date 2019-11-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 1428 44TH ST SW
City WYOMING
State MI
Zip Code 49509-4312

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487864831 Conny M Raaymakers Psychologist 1428 44th St Sw, Suite E, Wyoming, MI 49509-7202 2007-05-23
1861090284 Sethe Zachman Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2020-10-16
1679186274 Natalie Zak Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2020-08-25
1689287252 Sara Elizabeth Hayes Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2020-08-24
1053920900 Raelene Struckmeyer Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2020-07-27
1043845282 Myia Roberts Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2020-03-09
1528601903 Tiesjwan Hughes Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2019-10-18
1164070272 Yueting Lu Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2019-09-01
1972151785 Ashton Spicer Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2019-08-27
1437704616 Isabel Anna Marie Blanks Behavior Technician 1428 44th St Sw, Wyoming, MI 49509-4312 2019-08-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023620713 Lindsay Kayann Ottowitz Behavior Technician 1428 44th St. Sw, Wyoming, MI 49509 2020-08-23
1750990016 Lindsay Alexandra Lyszczarz Behavior Technician 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 2020-07-23
1033690409 Courtney M Garner Behavior Technician 1428 44th Street, Wyoming, MI 49509 2018-08-23
1457857195 Ashley Mae Autio Case Manager/Care Coordinator 795 36th Street, Wyoming, MI 49509 2018-04-02
1689124588 Jacqeulyn Harmon Behavioral Analyst 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 2016-10-04
1275988925 Intsar Abdulahe Social Worker 1551 Charles Russell, Wyoming, MI 49509 2016-05-02
1992160071 Concierge Home Care Services of West Michigan, LLC Home Infusion 1360 56th Street Sw, Wyoming, MI 49509 2015-12-16
1417349796 Yashana Duncan Case Manager/Care Coordinator 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 2015-02-24
1710378377 Rawm Vascular Access, Pllc Internal Medicine 1540 36th Street. Sw, Wyoming, MI 49509 2015-02-17
1366882755 Kevin Timothy Solt Dentist 1535 44th St Sw Ste 200, Wyoming, MI 49509 2013-06-28
Find all providers in zip 49509

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972100428 Avery Cross Behavior Technician 2336 Floyd St Sw, Wyoming, MI 49519-3624 2020-10-07
1104439280 Sarah Anne-taylor Sander Behavior Technician Developmental Enhancement Behavioral Health, 1428 44th St. Sw, Wyoming, MI 49509-4312 2020-08-28
1023620713 Lindsay Kayann Ottowitz Behavior Technician 1428 44th St. Sw, Wyoming, MI 49509 2020-08-23
1750990016 Lindsay Alexandra Lyszczarz Behavior Technician 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 2020-07-23
1831716117 Arianna Velazquez Amado Behavior Technician 105 32nd St Sw, Wyoming, MI 49548-1135 2020-07-02
1568093292 Rachel Renee Nickerson Behavior Technician 2106 Johanna Ave Sw, Wyoming, MI 49509-1830 2020-01-31
1609412675 Ethan Rogers Behavior Technician 2555 Fox Run Rd Sw Apt 10, Wyoming, MI 49519-5210 2019-11-25
1295295905 Devin Nicole Doublestein Behavior Technician 4071 Quest Ct Sw, Wyoming, MI 49418-8366 2019-03-20
1063976454 Elaina Sagorski Behavior Technician 5310 S Pine Slope Ct Sw, Wyoming, MI 49519-9642 2019-01-30
1033690409 Courtney M Garner Behavior Technician 1428 44th Street, Wyoming, MI 49509 2018-08-23
Find all providers in WYOMING

Competitor

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City WYOMING
Zip Code 49509

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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